A nurse is assessing a client who has a heart rate of 115. Which of the following is the medical term?

Pallor.

Bradypnea.

Tachycardia.

Somnolence.

Answer and Explanation

The Correct Answer is C

A reason: Pallor. Pallor refers to an abnormal paleness of the skin, which can be caused by various conditions such as anemia or shock. It is not related to heart rate.

B reason: Bradypnea. Bradypnea refers to an abnormally slow breathing rate. It is unrelated to heart rate and is not the correct term for describing an elevated heart rate.

C reason: Tachycardia. Tachycardia is the medical term for an abnormally fast heart rate, typically defined as a heart rate over 100 beats per minute. A heart rate of 115 falls into this category, making tachycardia the correct term.

D reason: Somnolence. Somnolence refers to a state of drowsiness or sleepiness. It is not related to heart rate and is not the appropriate term for describing an elevated heart rate.

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Correct Answer is C

Explanation

A reason:

A client with diarrhea after taking antibiotics for 10 days for a UTI is not the most appropriate to assign to a private room. While this client may have an infection, diarrhea alone does not typically warrant isolation over other more contagious conditions.

B reason:

A client with abdominal pain and a fever may have an infection, but without more specific symptoms indicating a highly contagious disease, this client does not necessarily require a private room over others with more concerning symptoms.

C reason:

A client with a productive cough that is blood tinged is the most appropriate to assign to the private room. This client could have a highly contagious respiratory infection such as tuberculosis, which requires isolation to prevent the spread of infection to others in the hospital.

D reason:

A client with a wound infection and draining pus-like drainage needs careful management to prevent cross-contamination, but respiratory infections typically take precedence for private rooms due to their high contagion potential.

A. A client who is able to bear full weight on both lower extremities. B. A client who has bilateral knee replacements with partial weight bearing on both legs. C. A client who has a right femur fracture with no weight bearing on the affected leg. D. A client who has bilateral leg braces due to paralysis of the lower extremities.

Correct Answer is C

Explanation

A reason: A client who is able to bear full weight on both lower extremities. A client who can bear full weight on both lower extremities does not need to use a three-point gait. This gait is designed for individuals who cannot bear weight on one leg, making this choice incorrect for the given scenario.

B reason: A client who has bilateral knee replacements with partial weight bearing on both legs. A client with bilateral knee replacements and partial weight bearing needs a different type of gait that distributes weight evenly across both legs. The three-point gait is not suitable for this condition, thus making this choice inappropriate.

C reason: A client who has a right femur fracture with no weight bearing on the affected leg. A three-point gait is specifically used for individuals who are unable to bear weight on one leg. This gait involves using crutches and the unaffected leg to form a tripod, which provides stability while moving. Therefore, this option is the correct choice.

D reason: A client who has bilateral leg braces due to paralysis of the lower extremities. A client with bilateral leg braces due to paralysis would require a different gait pattern that accommodates the use of braces and supports for both legs. The three-point gait is not designed for bilateral leg paralysis, making this choice incorrect.

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A nurse is assessing a client who has a heart rate of 115. Which of the following is the medical term?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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